{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:08:25Z","timestamp":1792318105845,"version":"4.4.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2009,9,3]],"date-time":"2009-09-03T00:00:00Z","timestamp":1251936000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,9,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The aim of this randomized controlled study was to compare the primary success rate between venous cutdown and the Seldinger technique for placement of the totally implantable venous access port (TIVAP).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 152 patients were randomized to receive TIVAP placement by either venous cutdown or the Seldinger technique. The main endpoint was the primary success rate. Secondary endpoints included overall success rate, procedure time and perioperative complication rates. Multiple logistic regression analysis was undertaken to assess the influence of different variables on primary success.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The primary success rate was 71 per cent for venous cutdown and 90 per cent for the Seldinger technique (P = 0\u00b7007). The mean procedure time was significantly shorter for the Seldinger technique (48\u00b79 versus 64\u00b78 min; P &amp;lt; 0\u00b7001). The overall success rate was 97\u00b74 per cent. The rate of perioperative complications was similar for the two approaches (5 per cent), but was higher when a procedure was converted. The variables sex, body mass index, implantation side and surgeon experience had no impact on the primary success rate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The Seldinger technique was more effective and quicker than venous cutdown, and should be regarded as the method of choice for TIVAP placement. Registration number: NCT00272623 (http:\/\/www.clinicaltrials.gov).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6730","type":"journal-article","created":{"date-parts":[[2009,9,3]],"date-time":"2009-09-03T14:58:07Z","timestamp":1251989887000},"page":"1129-1134","source":"Crossref","is-referenced-by-count":56,"title":["Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports"],"prefix":"10.1093","volume":"96","author":[{"given":"A","family":"Nocito","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Wildi","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Rufibach","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Institute for Social and Preventive Medicine, University of Zurich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P-A","family":"Clavien","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital Zurich, Switzerland"},{"name":"Cantonal Hospital of Schaffhausen, Schaffhausen, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2009,9,3]]},"reference":[{"key":"2021070910383551900_bib1","first-page":"706","article-title":"Totally implanted venous and arterial access system to replace external catheters in cancer treatment","volume":"92","author":"Niederhuber","year":"1982","journal-title":"Surgery"},{"key":"2021070910383551900_bib2","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1200\/JCO.1999.17.4.1267","article-title":"Totally implantable venous access ports systems for patients receiving chemotherapy for solid tissue malignancies: a randomized controlled clinical trial examining the safety, efficacy, costs, and impact on quality of life","volume":"17","author":"Bow","year":"1999","journal-title":"J Clin Oncol"},{"key":"2021070910383551900_bib3","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1006\/gyno.1998.5133","article-title":"Complications related to indwelling caval catheters on a gynecologic oncology service","volume":"70","author":"Silver","year":"1998","journal-title":"Gynecol Oncol"},{"key":"2021070910383551900_bib4","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s10434-000-0496-9","article-title":"A prospective analysis of the cephalic vein cutdown approach for chronic indwelling central venous access in 100 consecutive cancer patients","volume":"7","author":"Povoski","year":"2000","journal-title":"Ann Surg Oncol"},{"key":"2021070910383551900_bib5","doi-asserted-by":"crossref","first-page":"368","DOI":"10.3109\/00016925309136722","article-title":"Catheter replacement of the needle in percutaneous arteriography; a new technique","volume":"39","author":"Seldinger","year":"1953","journal-title":"Acta Radiol"},{"key":"2021070910383551900_bib6","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/S1470-2045(02)00905-1","article-title":"Totally implantable venous-access ports: local problems and extravasation injury","volume":"3","author":"Kurul","year":"2002","journal-title":"Lancet Oncol"},{"key":"2021070910383551900_bib7","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1159\/000011947","article-title":"Complications of subcutaneous infusion port in the general oncology population","volume":"56","author":"Ballarini","year":"1999","journal-title":"Oncology"},{"key":"2021070910383551900_bib8","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1023\/A:1008392423469","article-title":"Totally implantable central venous access ports for long-term chemotherapy. 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